Imagine never being able to communicate with your child - him unable to
speak and your words muddled by his brain. BBC News Online's Jane Elliott
talked to one family about their son's battle to 'talk'.
Every new parent longs for the thrill of their child's first word but
this was a joy Sarah Harris never thought she would experience when her
son Joe was diagnosed with an extremely rare metabolic disorder at the age
of two.

The doctors said he would never be able to co-ordinate himself
enough to use the mouse on the computer, but he has

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Sarah Harris
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Doctors told her that her son, Joe,
was suffering from Hartnup Syndrome - a condition which meant that, in his
case, he would neither be able to speak nor understand speech.
Five years later, however, the boy stunned his family and the medical
world with a message that proved that he had secretly taught himself to
read.
Sarah told BBC News Online: "He picked up a piece of jigsaw.
"He gave it to me and said 'G', which was written on it. I thought it
was a fluke, but gave him another letter and he said that as well. I
started typing out one syllable for him and he could say that too."
From this incredible beginning his mother has gradually helped her son
open the door to a new world of communication, painstakingly piecing
together a shared language syllable by syllable.
Painstaking progress
With practise Joe and Mrs Harris were able to communicate through text
messages, breaking through the years of frustrating silence between mother
and son.
"He has made so much progress. The doctors said he would never be able
to co-ordinate himself enough to use the mouse on the computer, but he
has. He learns so quickly and he wants to communicate so badly."
The breakthrough means that whereas once Joe could only mouth a single
syllable to express himself, now he can type a sentence.

He learns so quickly and he wants to communicate so badly

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Sarah Harris
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Joe still suffers from many of the
symptoms of his condition which means that he is unsteady on his feet and
can have difficulty understanding others.
"His condition means that he displays a lot of the symptoms of autism
and he can be very single-minded," said Mrs Harris.
Now Joe's family are hoping to raise enough cash to buy him a computer
which will enable Joe to communicate verbally by speaking what he types in
the voice of a six-year-old child.
Work colleagues of Mrs Harris have already raised more than £1,500 for
the Hertfordshire youngster.
Rare condition
"Hartnup Syndrome" is a very rare metabolic disorder, which is
inherited as a recessive gene and only becomes apparent if carried by both
parents.
The condition is so rare that when Joe was first diagnosed medics asked
his parents if they could possibly be related.
When the couple traced back their family tree they found that they
actually came from the same small village.
The illness is caused by a defect in amino acids in the small intestine
and kidney and can lead to mental retardation, co-ordination problems;
gastrointestinal, skin and central nervous system abnormalities.
Suffers can also be smaller than normal in height.
The condition was named after the family in which it was first
discovered in 1956 in London. Four of the eight family members were
sufferers.
For many parents like Mrs Harris the first inkling that something is
wrong is their child's urine. Because Hartnup leads to toxicity in the gut
the urine is unusually foul smelling.

His condition means that he displays a lot of the symptoms of autism
and he can be very single-minded

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Sarah Harris
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But despite her raising this as a
concern doctors were slow to take notice.
At the age of two after a barrage of tests doctors finally diagnosed
Hartnup, but because the syndrome is so rare the Harris family had to do a
lot of the research into the condition themselves.
Mrs Harris said she had now reconciled herself to the fact that Joe
will probably never be able to say more than one syllable orally, although
she said his capacity to learn through text is improving by the day.
Anyone wanting to donate to the appeal for Joe's computer can do so
by paying a cheque made payable to "A Voice for Joe" into any branch of
HSBC.
The sort code is 40-45-27 and the account number is 415-156-91. Or you
can donate by post to 24, Upper Station Road, Radlett, Herts. WD7 8BX.